Glaucoma Clinical Trial
Official title:
Ocular Hemodynamic Effects of Nitrovasodilators in Healthy Subjects
Glaucoma, one of the most common causes of blindness, is associated with increased
intraocular pressure (IOP) and optic nerve head ischemia. Nitrovasodilators are discussed in
the treatment of glaucoma. Nitrates relax smooth muscle cells in the vasculature by
liberating the vasodilator nitric oxide.
The IOP lowering potential and the vasodilator action in retinal and choroidal vessels of
nitrates is still a matter of controversy. Previous studies on the ocular hemodynamic
effects of nitrates showed partially contradicting results. In addition the IOP lowering
effect of nitrates is still unclear. However, recent studies show that long acting nitrates
may preserve optic nerve deterioration and visual field loss.
Therefore, the role of nitrovasodilators in control of ocular blood flow and intraocular
pressure has to be elucidated. For this purpose the investigators plan to test the
hypothesis that nitrovasodilators improve ocular blood supply to the optic nerve head at
doses which do not affect systemic hemodynamics.
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Basic Science
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